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Individual

MR. CHARLES L LYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1001 S POLK ST, AMARILLO, TX 79101-3407
(806) 342-2500
(806) 372-2433
Mailing address
1001 S POLK ST, AMARILLO, TX 79101-3407
(806) 342-2500
(806) 372-2433

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
62807
TX
101YP2500X
Professional Counselor
Primary
62807
TX

Other

Enumeration date
05/06/2009
Last updated
05/06/2009
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